Platform 7 : Acute care (children’s high dependency unit)

Platform 7: Coordinating care

Proficiencies

7.1 understand and apply the principles of partnership, collaboration and interagency working across all relevant sectors

7.10 understand the principles and processes involved in planning and facilitating the safe discharge and transition of people between caseloads, settings and services

7.11 demonstrate the ability to identify and manage risks and take proactive measures to improve the quality of care and services when needed

What Alexis did

Due to the nature of Freddie’s injury, Alexis observed how the team liaised with a specialist paediatric neurology service to gain expert input and support decision-making regarding his care.

During the shift, Freddie’s MRI results were reviewed, and it was identified that his care could be stepped down from a high dependency level. Alexis observed how this decision was communicated clearly across the multidisciplinary team to ensure all staff, Freddie and his family were updated and care was adjusted appropriately.

Alexis recognised the importance of coordinating ongoing care following discharge. This included planning communication with the GP through a discharge summary and identifying the need for involvement of the school nurse to support Freddie’s return to education. Alexis recognised how early discharge planning supports safe transitions and reduces the risk of readmission.

Alexis also considered the broader aspects of discharge planning, including Freddie’s psychological wellbeing following a road traffic incident, his ability to return to normal daily activities, and the safe management of any ongoing pain relief.

She observed how the multidisciplinary team worked collaboratively to plan follow-up care, including potential referral to community services such as psychological support and ensuring appropriate follow-up appointments were arranged.

Throughout this process, Alexis contributed to discussions with Freddie and his family, providing information and ensuring they understood the plan of care and what to expect following discharge.

What this demonstrates

• Alexis demonstrated understanding of partnership and interagency working by observing and contributing to communication with specialist services and community teams (7.1)
• She recognised the importance of coordinated discharge planning, including communication with the GP and school nurse to support continuity of care (7.10)
• Alexis demonstrated awareness of the need to consider holistic needs, including psychological wellbeing and return to daily activities, when planning discharge (7.10, 7.11)
• She contributed to ensuring information was shared effectively across the MDT to support safe step-down of care (7.1, 7.11)
• Alexis supported person-centred care by involving Freddie and his family in discussions and ensuring they understood the ongoing plan (7.1, 7.10)
• She demonstrated awareness of potential risks following discharge and the need for appropriate follow-up and support to reduce these risks (7.11)

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